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Windsor House

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About Windsor House

General Information

Legal Business NameDiversicare Windsor House, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareOctober 16, 1987 (30 years)
Capacity117
Residents105
Percent Occupied90%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Windsor House

Windsor House
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Alabama Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

May 19, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

November 10, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionDispose of garbage and refuse properly.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

September 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Windsor House require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 30min
ReportedExpected
CNA
45min
35min
ReportedExpected
LPN
35min
55min
ReportedExpected
RN
3hr 15min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
100.0%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
25.5%
32.6%
40.5%
42.2%
41.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
32.7%
31.2%
28.9%
25.3%
29.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
12.1%
8.6%
4.1%
23.3%
15.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents whose ability to move independently worsened
8.1%
14.0%
11.5%
14.6%
19.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who received an antipsychotic medication
2.2%
6.7%
5.1%
11.5%
12.6%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents whose need for help with daily activities has increased
1.2%
2.4%
2.7%
0.0%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who self-report moderate to severe pain
1.0%
2.0%
1.1%
0.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who lose too much weight
1.5%
1.5%
3.4%
4.8%
5.6%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who have depressive symptoms
0.0%
0.0%
0.0%
0.0%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents with a urinary tract infection
4.9%
6.1%
4.3%
6.5%
3.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
1.0%
0.0%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

97.8%
96.5%
93.7%
93.8%
82.0%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
96.5%
96.5%
96.5%
79.9%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
20.8%
22.5%
40.9%
55.4%
Q4 2015Q1 2016Q2 2016Q3 2016AL
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
13.6%
3.4%
8.2%
15.9%
14.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
4.7%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
1.1%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016AL
Percentage of short-stay residents with pressure ulcers that are new or worsened